Active NPI
Carrie Lynne Ellis, LMHP, LPC
- Mental Health Counselor
- Bellevue, NE
National Provider Identifier
1124306683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3932
- Practice address
- 2231 Lincoln Rd
Bellevue, NE 68005-3907 - Phone
- (402) 694-8581
- NPI assigned
- Aug 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1951 | NE | |
| Mental Health Counselor | 101YM0800X | 3932 | NE | Primary |
Addresses
Primary practice location
2231 Lincoln Rd
Bellevue, NE 68005-3907
Mailing address
2231 Lincoln Rd
Bellevue, NE 68005-3907
Phone (402) 694-8581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1951 | NE | MD | Counselor |
| 3932 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1124306683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 LINCOLN RD",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053907",
"telephone_number": "402-694-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 LINCOLN RD",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053907",
"telephone_number": "402-694-8581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "CARRIE",
"middle_name": "LYNNE",
"credential": "LMHP, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-01",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "1951",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.